胶囊内镜对消化道疾病的诊断价值

目的探讨胶囊内镜对消化道疾病,特别是小肠疾病的诊断价值。方法 2007年6月至2010年4月间,对180例患者(其中不明原因消化道出血58例,慢性腹痛88例,慢性腹胀27例,慢性腹泻7例)行OMOM胶囊内镜检查,并对其结果进行回顾性分析。结果所有病人检查无不适感,180例患者中177例(98.3%)完成胶囊内镜检查,139例(77.2%)发现阳性病变;58例不明原因消化道出血者中42例(72.4%)为小肠病变;88例慢性腹痛者中43例(48.9%)为单纯小肠病变,6例(6.8%)为单纯食管或胃部病变,1例(1.1%)为单纯结肠病变,18例(20.5%)同时存在小肠病变和胃部病变,1例(1.1%)同时存在胃部病变和结肠病变;27例腹胀者中3例(11.1%)为单纯小肠病变,18例(66.7%)为单纯食管或胃部病变,2例(7.4%)同时存在小肠病变和胃部病变,2例(7.4%)同时存在胃部病变和结肠病变;7例慢性腹泻者中3例(42.9%)为小肠病变。3例(1.7%)发生胶囊滞留。结论胶囊内镜在消化道疾病尤其是小肠疾病的诊断中有较高价值,临床安全性好。

Value of capsule endoscopy as a diagnostic tool for gastrointestinal disease

Objective To assess the capsule endoscopy in the diagnosis of gastrointestinal diseases,especially in the small intestinal diseases.Methods We analyzed the outcome of 180 patients who received OMOM capsule endoscopy from June 2007 to April 2010.Among these patients,58 were obscure gastrointestinal bleeding,88 were chronic abdominal pain,27 were chronic abdominal distention,and 7 were chronic diarrhea.Results All patients did not feel uncomfortable during the examination.One hundred and seventy-seven patients（98.3%）successfully completed the procedure.The diagnostic rate was 77.2%（139/180）.Of 58 patients with obscure gastrointestinal bleeding,small intestinal diseases were found in 42 patients（72.4%）.Of 88 patients with chronic abdominal pain,43 patients（48.9%）were diagnosed as simple small intestinal diseases,6 patients（6.8%）as simple esophageal or gastric diseases,1 patient as gastric and colonic diseases.1 patient as simple colonic diseases.Of 27 patients with chronic abdominal distention,3 patients（11.1%）were diagnosed as simple small intestinal diseases,18 patients（66.7%）as esophageal and gastric diseases,2 patients（7.4%）as small intestinal and gastric diseases,and 2 patients（7.4%）as gastric and colonic diseases.Three patients （42.9%）were diagnosed as small intestinal diseases among 7 patients with chronic diarrhea.Capsule retention occurred in 3（1.7%）patients.Conclusions Capsule endoscopy is a safe procedure and valuable tool for diagnosing gastrointestinal diseases,especially for small intestinal diseases.